Stability of stereognosis after pediatric repetitive transcranial magnetic stimulation and constraint-induced movement therapy clinical trial

Rich, Tonya L.; Cassidy, Jessica M.; Menk, Jeremiah; Heest, Ann E. Van; Krach, Linda E.; Carey, James R.; Gillick, Bernadette T.

doi:10.3109/17518423.2016.1139008

Cited by 7 publications

(3 citation statements)

References 31 publications

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“…In addition, the improvement of hand movements might have enhanced participants' exploration during stereognosis assessments. Changes of stereognosis in relation to improved hand movements following the constraint-induced movement therapy has been shown in individuals who experience chronic stroke (Rich et al, 2017). As some components of the tasks practiced in the present study were task-specific training, the Bobath therapy demonstrated a similar change to constraint-induced movement therapy.…”

Section: Sensory Modalitiessupporting

confidence: 66%

The effect of the Bobath therapy programme on upper limb and hand function in chronic stroke individuals with moderate to severe deficits

Pumprasart

Pramodhyakul

Piriyaprasarth

2019

International Journal of Therapy and Rehabilitation

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Background/Aims The Bobath concept has long been used to improve postural control and limb function post-stroke, yet its effect in patients with deficits have not been clearly demonstrated. This study aimed to investigate the effect of the latest Bobath therapy programme on upper limb functions, muscle tone and sensation in chronic stroke individuals with moderate to severe deficits. Methods A pre–post test design was implemented. The participants were chronic stroke individuals (n=26). Home-based intervention based on the Bobath concept was administered 3 days per week for 6 weeks (20 repetitions × 3 sets per task each session). Outcome measures consisted of the Wolf Motor Function Test, Fugl-Meyer Assessment for the upper extremity, Modified Ashworth Scale, and the Revised Nottingham Sensory Assessment. Data were analysed using the Wilcoxon Signed rank test. Results Almost all items of the Wolf Motor Function Test and the Fugl-Meyer Assessment for the upper extremity demonstrated statistically significant differences post-intervention. Finger flexor muscle tone and stereognosis were also significantly improved. Conclusions The 6-week Bobath therapy programme could improve upper limb function and impairments in chronic stroke individuals with moderate to severe deficits. Its effects were also demonstrated in improving muscle tone and cortical sensation.

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Section: Sensory Modalitiessupporting

confidence: 66%

The effect of the Bobath therapy programme on upper limb and hand function in chronic stroke individuals with moderate to severe deficits

Pumprasart

Pramodhyakul

Piriyaprasarth

2019

International Journal of Therapy and Rehabilitation

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“…Conversely, pinching or grasping an object until perceived resistance neither requires verbalization nor involves deliberate recruitment of attentional networks. Such measures as stereognosis and/or grating orientation tasks were recently shown to improve with both intensive CIMT and bimanual training [ 36 , 40 ]. However, those studies were carried out in children older (>8 years of age) than those tested here, and even therein, stereognosis improvements were not always reliable.…”

Section: Discussionmentioning

confidence: 99%

Somatosensory Plasticity in Pediatric Cerebral Palsy following Constraint-Induced Movement Therapy

et al. 2018

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Cerebral palsy (CP) is predominantly a disorder of movement, with evidence of sensory-motor dysfunction. CIMT1 is a widely used treatment for hemiplegic CP. However, effects of CIMT on somatosensory processing remain unclear. To examine potential CIMT-induced changes in cortical tactile processing, we designed a prospective study, during which 10 children with hemiplegic CP (5 to 8 years old) underwent an intensive one-week-long nonremovable hard-constraint CIMT. Before and directly after the treatment, we recorded their cortical event-related potential (ERP) responses to calibrated light touch (versus a control stimulus) at the more and less affected hand. To provide insights into the core neurophysiological deficits in light touch processing in CP as well as into the plasticity of this function following CIMT, we analyzed the ERPs within an electrical neuroimaging framework. After CIMT, brain areas governing the more affected hand responded to touch in configurations similar to those activated by the hemisphere controlling the less affected hand before CIMT. This was in contrast to the affected hand where configurations resembled those of the more affected hand before CIMT. Furthermore, dysfunctional patterns of brain activity, identified using hierarchical ERP cluster analyses, appeared reduced after CIMT in proportion with changes in sensory-motor measures (grip or pinch movements). These novel results suggest recovery of functional sensory activation as one possible mechanism underlying the effectiveness of intensive constraint-based therapy on motor functions in the more affected upper extremity in CP. However, maladaptive effects on the less affected constrained extremity may also have occurred. Our findings also highlight the use of electrical neuroimaging as feasible methodology to measure changes in tactile function after treatment even in young children, as it does not require active participation.

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“…[13][14][15] One study found stereognosis specific improvement following combined CIMT and repetitive transcranial magnetic stimulation (rTMS). [16] Due to the bimodal approach of this study, it remains unclear whether CIMT independently can induce sensory specific changes. Changes in proprioception and kinesthesia have yet to be evaluated and may play important roles in CIMT in HCP.…”

Section: Introductionmentioning

confidence: 95%

Somatosensory Plasticity in Hemiplegic Cerebral Palsy Following Constraint Induced Movement Therapy

Jobst

D'Souza

Causton

et al. 2022

Pediatric Neurology

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Stability of stereognosis after pediatric repetitive transcranial magnetic stimulation and constraint-induced movement therapy clinical trial

Cited by 7 publications

References 31 publications

The effect of the Bobath therapy programme on upper limb and hand function in chronic stroke individuals with moderate to severe deficits

The effect of the Bobath therapy programme on upper limb and hand function in chronic stroke individuals with moderate to severe deficits

Somatosensory Plasticity in Pediatric Cerebral Palsy following Constraint-Induced Movement Therapy

Somatosensory Plasticity in Hemiplegic Cerebral Palsy Following Constraint Induced Movement Therapy

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